Cardiomyopathy

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Written by Di Zhi Yong
Cardiology
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Can patients with dilated cardiomyopathy have sexual activity?

It is advised to actively treat dilated cardiomyopathy and improve the patient's cardiac function. If the disease is not controlled, patients can still have sexual intercourse, but it will exacerbate their cardiac symptoms. If this disease is not actively and effectively controlled, it is not recommended to engage in sexual activity, as this could worsen the progression of the disease and is not conducive to recovery. During this period, it is advised that patients regularly visit the hospital for cardiac echocardiography checks. It is also best to regularly check complete blood counts, liver and kidney function, blood glucose, and blood lipids, as well as monitor their own blood pressure, heart rate, and pulse changes.

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Written by Xie Zhi Hong
Cardiology
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Is dilated cardiomyopathy the same as heart disease?

Heart disease is divided into several major categories: the first category is cardiovascular disease, the second category is arrhythmia disorders, which are those caused by abnormalities indicated on an electrocardiogram, and the third category is caused by cardiac structural issues, such as dilated cardiomyopathy, which is a heart disease caused by structural problems in the heart. Therefore, we should understand that dilated cardiomyopathy is actually a type of heart disease; it is not the same. Thus, this question is relatively easy to answer, as dilated cardiomyopathy is just one type of heart disease.

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Written by Di Zhi Yong
Cardiology
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Can patients with dilated cardiomyopathy eat sea cucumber?

In general, if a patient is diagnosed with dilated cardiomyopathy, it is advised that the patient actively treats and controls the symptoms, as this disease tends to recur. If the patient's cardiac function declines, sometimes it may be necessary to use some anti-myocardial drugs to treat this disease. In terms of diet, it is generally recommended that the patient follows a light diet, especially avoiding spicy and stimulating foods. As for sea cucumber, I personally recommend eating it sparingly, as sometimes it can have certain impacts on the human body. It is still advisable to adhere to a light diet, focusing on eating more vegetables and fruits, while also educating patients to improve symptoms through dietary exercise.

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Written by Chen Tian Hua
Cardiology
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Does cordyceps have an effect on cardiomyopathy?

Eating cordyceps has no scientifically proven therapeutic effect on cardiomyopathy. However, people with cardiomyopathy can appropriately consume some cordyceps without adverse effects on their condition. Moreover, cordyceps can regulate the body's immune ability and has certain anti-fatigue effects, which can still have beneficial impacts on the patient's health. Patients with cardiomyopathy should undergo long-term treatment based on their underlying heart disease. Different types of cardiomyopathy require different treatment measures. For example, patients with dilated cardiomyopathy need to be treated long-term with drugs that inhibit myocardial remodeling to improve prognosis. If heart failure occurs, treatment for heart failure should be given to improve the symptoms of heart failure.

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Written by Li Hai Wen
Cardiology
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The difference between dilated cardiomyopathy and restrictive cardiomyopathy

The differences between dilated cardiomyopathy and restrictive cardiomyopathy mainly consist of the following two aspects: First, the anatomical differences: dilated cardiomyopathy is characterized by an enlargement of the heart, especially the left ventricle. Whereas restrictive cardiomyopathy is characterized by anatomical features such as narrowed or reduced heart cavities and limited ventricular filling. Second, the differences in symptoms: the symptoms of dilated cardiomyopathy are mainly characterized by those of left heart failure, such as exertional dyspnea, nocturnal paroxysmal dyspnea, and orthopnea. The main symptoms of restrictive cardiomyopathy, however, are manifestations of right heart failure, which commonly include nausea, abdominal distension, and peripheral edema.

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Written by Li Hai Wen
Cardiology
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Do you have to take medication for life for dilated cardiomyopathy?

Dilated cardiomyopathy refers to a disease characterized by an enlarged heart, especially significant enlargement of the left ventricle, along with a severe reduction in the heart's ejection fraction. Those diagnosed with dilated cardiomyopathy generally require long-term, and possibly lifelong, medication management. This includes diuretic medications such as furosemide or spironolactone, and β-blocker agents such as metoprolol or bisoprolol. These medications can effectively improve symptoms of heart failure caused by dilated cardiomyopathy, enhance quality of life, and even extend lifespan. Therefore, it is crucial for patients with dilated cardiomyopathy to take medications as prescribed by a doctor and not to discontinue them arbitrarily.

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Written by Li Hai Wen
Cardiology
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What should be paid attention to in daily life with dilated cardiomyopathy?

For dilated cardiomyopathy, attention should be paid to the following two aspects: First, maintain good living habits, such as a low-salt diet, abstaining from smoking and alcohol, and adhering to appropriate exercise when the condition is stable. At the same time, try to avoid staying up late and excessive fatigue. Second, standardized medication treatment should be carried out under the guidance of a doctor. This includes drugs such as the diuretic furosemide or spironolactone, as well as beta-blockers like metoprolol sustained-release tablets. Proper medication can improve symptoms, reduce the occurrence of heart failure, and lessen hospital visits, thereby improving life quality and extending life span. Never stop or switch any medication on your own at home. (Please consult a doctor before using any medication)

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Written by Li Hai Wen
Cardiology
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The difference between cardiomyopathy and coronary heart disease

Cardiomyopathy refers to a type of disease characterized primarily by organic changes in the myocardium, such as dilated cardiomyopathy, hypertrophic cardiomyopathy, and restrictive cardiomyopathy. These diseases are characterized mainly by pathological changes in the myocardium itself, forming a category of heart diseases. In contrast, coronary heart disease often refers to a type of heart disease caused by the narrowing of the coronary arteries due to atherosclerosis, leading to insufficient blood supply to the heart. Cardiomyopathy often manifests as damage to the myocardium, while coronary heart disease often manifests as blockage of the blood vessels. This is the fundamental difference between these two categories of heart diseases.

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Written by Li Hai Wen
Cardiology
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Do you need to take medication for a long time for dilated cardiomyopathy?

Patients with dilated cardiomyopathy need long-term or even lifelong medication because dilated cardiomyopathy is an incurable disease that requires medication to properly control the onset of heart failure symptoms. The symptoms of heart failure due to dilated cardiomyopathy can easily recur, leading to repeated hospitalizations, often related to the patient's irregular medication use or arbitrary discontinuation of medication. Therefore, patients with dilated cardiomyopathy must take medication under a doctor's guidance for long periods, such as using diuretics and medication like sustained-release metoprolol, etc. At the same time, it is important to maintain good living habits, a low-salt diet, a good emotional state, and conduct moderate exercise under stable conditions.

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Written by Xie Zhi Hong
Cardiology
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How to recover from decreased physical fitness due to dilated cardiomyopathy?

Dilated cardiomyopathy is diagnosed after excluding conditions such as hyperthyroidism, hypertension, coronary heart disease, cardiac hypertrophy, or myocarditis as underlying causes. Generally, the exact cause of dilated cardiomyopathy is unknown, rendering causal treatment impossible. Once diagnosed with dilated cardiomyopathy, it is impossible to completely cure the condition. The only approach is to manage symptoms and prevent further progression of the disease. Typically, this involves the use of beta-blockers, ACE inhibitors, and diuretics. If the patient has severe cardiac dysfunction, drugs like digoxin, which strengthen heart function, may be considered. If medication does not adequately control the condition, other treatments like CRT might be considered, as well as the use of phosphodiesterase inhibitors, diuretics, or intravenous cardiotonic glycosides.